EP4233905A2 - Compositions nutritionnelles et préparations pour nourrissons pour favoriser la myélinisation dans le cerveau - Google Patents

Compositions nutritionnelles et préparations pour nourrissons pour favoriser la myélinisation dans le cerveau Download PDF

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Publication number
EP4233905A2
EP4233905A2 EP23168936.5A EP23168936A EP4233905A2 EP 4233905 A2 EP4233905 A2 EP 4233905A2 EP 23168936 A EP23168936 A EP 23168936A EP 4233905 A2 EP4233905 A2 EP 4233905A2
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Prior art keywords
composition
fatty acid
dha
ara
composition according
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German (de)
English (en)
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EP4233905A3 (fr
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Nora Schneider
Sean DEONI
Tamas Bartfai
Jonas HAUSER
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Societe des Produits Nestle SA
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Societe des Produits Nestle SA
Nestle SA
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    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/115—Fatty acids or derivatives thereof; Fats or oils
    • A23L33/12—Fatty acids or derivatives thereof
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/105—Plant extracts, their artificial duplicates or their derivatives
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/15—Vitamins
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/16—Inorganic salts, minerals or trace elements
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/40—Complete food formulations for specific consumer groups or specific purposes, e.g. infant formula
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/13—Amines
    • A61K31/14—Quaternary ammonium compounds, e.g. edrophonium, choline
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19—Carboxylic acids, e.g. valproic acid
    • A61K31/20—Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids
    • A61K31/202—Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids having three or more double bonds, e.g. linolenic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/66—Phosphorus compounds
    • A61K31/683—Diesters of a phosphorus acid with two hydroxy compounds, e.g. phosphatidylinositols
    • A61K31/688—Diesters of a phosphorus acid with two hydroxy compounds, e.g. phosphatidylinositols both hydroxy compounds having nitrogen atoms, e.g. sphingomyelins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00—Medicinal preparations containing inorganic active ingredients
    • A61K33/24—Heavy metals; Compounds thereof
    • A61K33/26—Iron; Compounds thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00—Drugs for disorders of the nervous system
    • A61P25/28—Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23V—INDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2002/00—Food compositions, function of food ingredients or processes for food or foodstuffs
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23V—INDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2200/00—Function of food ingredients
    • A23V2200/30—Foods, ingredients or supplements having a functional effect on health
    • A23V2200/322—Foods, ingredients or supplements having a functional effect on health having an effect on the health of the nervous system or on mental function
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23V—INDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2250/00—Food ingredients
    • A23V2250/15—Inorganic Compounds
    • A23V2250/156—Mineral combination
    • A23V2250/1592—Iron
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23V—INDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2250/00—Food ingredients
    • A23V2250/18—Lipids
    • A23V2250/186—Fatty acids
    • A23V2250/1862—Arachidonic acid
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23V—INDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2250/00—Food ingredients
    • A23V2250/18—Lipids
    • A23V2250/186—Fatty acids
    • A23V2250/1868—Docosahexaenoic acid
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23V—INDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2250/00—Food ingredients
    • A23V2250/70—Vitamins
    • A23V2250/704—Vitamin B
    • A23V2250/7056—Vitamin B8 Folic acid

Definitions

  • the present invention relates to nutritional compositions for infants and young children and their associated health benefits.
  • nutritional compositions comprising fatty acid derivatives for promoting or supporting an optimal myelination trajectory in the brain, such trajectory being close to that observed in infants fed exclusively with human breast milk (HBM) for the first months of life.
  • HBM human breast milk
  • infant formula provides a suitable alternative to natural feeding with human breast milk.
  • Nutritional compositions for infants and young children are often sold as powders to be reconstituted with water or in some instances as ready to drink or concentrated liquid compositions. These compositions are intended to cover most or all the nutritional needs of the infants or young children.
  • infants fed with infant formula and infants fed with human breast milk can exhibit differences in the trajectory of myelination.
  • Myelination normally occurs in the brain starting prenatally and continuing in the offspring postnatally until early adulthood.
  • Myelination is a fundamental process of neurodevelopment that consist of the ensheathment of the axon by a fat myelin sheath that facilitates action potential transfer. Myelination has been suggested to play a key role in coordinated communication between brain cells and networks. Myelinated white matter matures alongside cognitive and learning abilities.
  • the invention relates to a nutritional composition for infants and young children, such as a pre-term formula, an infant formula, follow-on formula, growing up milk or baby food, preferably an infant formula.
  • the composition comprises a fatty acid derivative or mixtures thereof.
  • a fatty acid derivative or a mixture thereof promotes or supports an optimal myelination trajectory in the brain, such trajectory being close to that observed in infants fed exclusively with human breast milk (HBM).
  • HBM human breast milk
  • a nutritional composition for infants and/or young children comprising a fatty acid derivative or a mixtures thereof for promoting and/or supporting an optimal myelination trajectory in the brain, such trajectory being close to that observed in infants fed exclusively with human breast milk (HBM).
  • HBM human breast milk
  • a nutritional composition for infants and/or young children comprising a fatty acid derivative or mixtures thereof for promoting and/or supporting an optimal myelination trajectory in the brain, such trajectory being close to that observed in infants fed exclusively with human breast milk (HBM), which results in promoting and/or supporting an health status characterized by optimal brain and cognitive functions' development and/or prevention of neurocognitive deficits.
  • HBM human breast milk
  • a fatty acid derivative or a mixture thereof is provided in the manufacture of a nutritional composition to be administered to infants and/or young children to promote and/or support an optimal myelination trajectory in the brain, such trajectory being close to that observed in infants fed exclusively with human breast milk (HBM).
  • HBM human breast milk
  • a fatty acid derivative or a mixture thereof is provided in the manufacture of a nutritional composition to be administered to infants and/or young children to promote and/or support an optimal myelination trajectory in the brain, such trajectory being close to that observed in infants fed exclusively with human breast milk (HBM), such trajectory resulting in promoting and/or supporting an health status characterized by optimal brain and cognitive functions' development and/or prevention of neurocognitive deficits.
  • HBM human breast milk
  • a method of promoting and/or supporting an optimal myelination trajectory in the brain comprising administering to an infant and/or young children nutritional composition comprising a fatty acid derivative or mixtures thereof.
  • a method of promoting and/or supporting an optimal myelination trajectory in the brain comprising administering to an infant and/or young children nutritional composition comprising a fatty acid derivative or mixtures thereof, such trajectory being close to that observed in infants fed exclusively with human breast milk (HBM) and resulting in promoting and/or supporting an health status characterized by optimal brain and cognitive functions' development and/or prevention of neurocognitive deficits.
  • HBM human breast milk
  • a fatty acid derivative or a mixture thereof is provided to promote and/or support an optimal myelination trajectory in the brain, such trajectory being close to that observed in infants fed exclusively with human breast milk (HBM), in an infant and/or young children.
  • HBM human breast milk
  • a fatty acid derivative or a mixture thereof is provided to promote and/or support an optimal myelination trajectory in the brain in infants and/or young children, such trajectory being close to that observed in infants fed exclusively with human breast milk (HBM) and resulting in promoting and/or supporting an health status characterized by optimal brain and cognitive functions' development and/or prevention of neurocognitive deficits.
  • HBM human breast milk
  • the infants or young children can be between 0 and 60 months, or between 0 and 24 months of age, or between 0 and 12 months of age, or between 0 and 6 months of age.
  • a nutritional composition which comprises in addition to a fatty acid derivative (for example DHA and/or ARA, nervonic acid and/or stearic acid) or a mixture thereof: Phospholipids (for example sphingomyelin), minerals (in particular iron, Magnesium, phosphorus, copper, calcium and/or zinc) choline, Vitamin B12 and/or folic acid.
  • a fatty acid derivative for example DHA and/or ARA, nervonic acid and/or stearic acid
  • Phospholipids for example sphingomyelin
  • minerals in particular iron, Magnesium, phosphorus, copper, calcium and/or zinc
  • the term "trajectory of myelination” indicates the extent of myelination (as linked to Myelin Water Fraction) as a function of time across infancy and early childhood.
  • optimal trajectory of myelination indicates a myelination trajectory as above defined which is as close as possible to that achieved in infants which are exclusively breast-fed during their first (3) months of life.
  • An infant's myelination trajectory may be considered to be as close as possible to that achieved in infants which are exclusively breastfed during their first (3) months of life, if the distance between any equivalent/same measurement points on the infant's trajectory and said exclusively breastfed infant's trajectory is up to 50%, in particular up to 25%, more particularly up to 20%.
  • Non limiting examples within the range of up to 50% include, 50%, 40%, 30%, 25%, 20%, 10%, 5%, 1%, 0.5%, and 0.01%.
  • the trajectories will be considered bioequivalent.
  • the myelination trajectory can be measured at any combination of time points.
  • the time points are within the first 5 years of a human's life, more particularly the first 2 & 3 years of a human's life, even more particularly in the first year of a human's life.
  • the myelination trajectory may be determined by measuring the myelin associated water fraction and/or the myelin associated water pool in a subject at different times points, in particular at different time points across the first 5 years of a human subject's life, more particularly the first 2 & 3 years of a human's life, even more particularly the 1st year of a human's life.
  • the myelin associated water fraction and/or the myelin associated water pool in a subject may be measured using a multicomponent relaxation (MCR) magnetic resonance imaging (MRI) technique and in particular using the mcDESPOT technique (Deoni et al 2008).
  • MCR multicomponent relaxation
  • MRI magnetic resonance imaging
  • mcDESPOT Deoni et al 2008
  • the myelination trajectory may be determined by measuring the myelin associated water pool using the mcDESPOT technique ( Magn.Reson.Med.2008 60:1372-1387 the subject matter of which is hereby incorporated by reference).
  • promote indicates a factor or a number of factors causing a certain process to occur.
  • support and/or “supporting” indicates a factor or a number of factors sustaining a certain process once it has started to occur.
  • Training refers to the acquisition of knowledge or skills through experience, study, or by being taught.
  • cognitivo refers to an intellectual process by which one individual becomes aware of, perceives, or comprehends ideas; thus, the ability to think and understand. Cognition includes all aspects of information processing, perception, attention, thinking, reasoning, understanding and remembering as well as psychomotor, language, memory, concentration, executive functions and problem-solving abilities.
  • infant means a child under the age of 12 months.
  • young child means a child aged between one and five years, (including toddlers).
  • Child generally indicates a human up to the age of eighteen.
  • preterm or premature means an infant or young child that was not born at term. Generally it refers to an infant born prior to the completion of 37 weeks of gestation.
  • Term born infant indicates an infant born after 37 weeks gestation.
  • Low birth weight indicates a newborn's body weight below 2500g (5.5 pounds), either as a result of preterm birth (i.e. before 37 weeks of gestation) and/or due to restricted foetal growth.
  • SGA Small-for-gestational-age
  • Postnatal period is the period beginning immediately after the birth of a child and extending for about six weeks.
  • the expression "nutritional composition” means a composition which nourishes a subject.
  • This nutritional composition is usually to be taken enterally, orally, parenterally or intravenously, and it usually includes a lipid or fat source and a protein source.
  • a nutritional composition is for oral use.
  • hypoallergenic nutritional composition means a nutritional composition which is unlikely to cause allergic reactions.
  • composition means a mixture obtained by chemical and/or biological means, which can be chemically identical to the mixture naturally occurring in mammalian milks.
  • infant formula means a foodstuff intended for particular nutritional use by infants during the first four to six months of life and satisfying by itself the nutritional requirements of this category of person (Article 1.2 of the European Commission Directive 91/321/EEC of May 14, 1991 on infant formulae and follow-on formulae).
  • starter infant formula means a foodstuff intended for particular nutritional use by infants during the first four months of life.
  • follow-on formula means a foodstuff intended for particular nutritional use by infants aged over four months and constituting the principal liquid element in the progressively diversified diet of this category of person.
  • GUM Growing up milk
  • the “growing-up milks” are given from one year onwards. It is generally a milk-based beverage adapted for the specific nutritional needs of young children.
  • baby food means a foodstuff intended for particular nutritional use by infants during the first years of life.
  • fortifier refers to liquid or solid nutritional compositions suitable for mixing with breast milk or infant formula.
  • weaning period means the period during which the mother's milk is substituted by other food in the diet of an infant.
  • oligofructose refers to a fructose oligomers. It can be long chain or short chain , pending on the degree of polymerization of the oligofructose (number of monomers).
  • the oligofructose of the invention is a short-chain oligofructose, most preferably it has a degree of polymerization of from 2 to 10, for example a degree of polymerization of from 2 to 8.
  • sn-2 palmitate refers to palmitic acid in the sn-2 position of the triglyceride to which it is bonded.
  • High sn-2 palmitate triglyceride refers to a triglyceride (TG) containing more than 30% of the palmitic acids in the sn-2 position.
  • TG triglyceride
  • a commercially available high sn-2 palmitate ingredient is sold by Lipid Nutrition is Betapol TM B-55. It is a triglyceride mixture derived from vegetable oil in which at least 54% of the palmitic acid is in the sn-2 position of the glycerol molecule.
  • Alpha-Lactalbumin refers to a high-quality, easy-to-digest whey protein that comprises 20-25% of total human breast milk (HBM) protein and is the primary protein found in HBM .
  • the structure of alpha-lactalbumin is comprised of 123 amino acids and 4 disulfide bridges and the protein has a molecular weight of 14.2K Daltons.
  • Alpha-lactalbumin is ideal for lower protein infant formulas due to its high content of essential amino acids, particularly tryptophan.
  • Alpha-lactalbumin also represents a source of sphingomyelin according to the present invention.
  • prebiotic means non-digestible carbohydrates that beneficially affect the host by selectively stimulating the growth and/or the activity of healthy bacteria such as bifidobacteria in the colon of humans ( Gibson GR, Roberfroid MB. Dietary modulation of the human colonic microbiota: introducing the concept of prebiotics. J Nutr. 1995;125:1401-12 ).
  • probiotic means microbial cell preparations or components of microbial cells with a beneficial effect on the health or well-being of the host.
  • the microbial cells are generally bacteria or yeasts.
  • sphingosine indicates 2-amino-4-octadecene-1,3-diol having the structure described in Fig.2 .
  • Sphingosine may constitute the backbone of sphingolipids as below described.
  • sphingoid bases denotes sphingosine and a class of compounds structurally derived from it such as: dihydrosphingosine, dihydrosphingosine and phytosphingosine.
  • sphingoid bases also includes the phosphorylated forms of dihydrosphingosine, sphingosine, dihydrosphingosine and phytosphingosine.
  • the sphingoid basis is selected from: dihydrosphingosine, sphingosine and phosphorylated forms thereof.
  • sphingolipids indicates a class of lipids containing a backbone of sphingoid bases wherein the amino group (-NH 2 ) is acylated with a fatty acid residue.
  • Cylamides and “sphingomyelin” as below defined are exemplary classes of sphingolipids.
  • ceramide indicates a lipid molecule wherein the sphingosine backbone is acylated with a fatty acid residue.
  • ceramide may identify a single ceramide species as well as a mixture of single ceramide species.
  • ceramide is a compound of formula (IXa), or a mixture of compounds of formula (IXa) wherein,
  • R16a is a C13 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl group which together with the adjacent carbonyl group corresponds to a C14 to C44 saturated or unsaturated fatty acid residue.
  • Non limiting examples of C14 to C44 saturated or unsaturated fatty acids from which the fatty acid residue may stem include; C14:0, C15:0, C16:0, C18:0, C20:0, C21:0, C22:0, C23:0, C24:1, C25:0, C28:1, C30:2, C30:1, C30:0, C32:3, C32:2, C32:1, C32:0, C33:1, C34:3, C34:2, C34:1, C34:0, C35:2, C35:0, C36:4, C36:3, C36:2, C36:1, C36:0, C37:1, C37:0, C38:4, C38:3, C38:1, C38:0, C39:1, C39:0, C40:2, C40:1, C40:0, C41:2, C41:1, C41:0, C42:47, C42:3, C42:2, C42:1, C42:0, C44:3, C44:1.
  • R16a is a C13 to C23 branched or unbranched acyclic alkyl, or acyclic alkenyl group which together with the adjacent carbonyl group corresponds to a C14 to C24 saturated or unsaturated fatty acid residue, wherein the fatty acid from which the fatty acid residue stemmed is selected from the group consisting of; C14:0, C15:0, C16:0, C18:0, C20:0, C21:0, C22:0, C23:0, C24:0, C18:1n-9, C18:2n-6, and C24:1n-9, and more particularly the group consisting of C16:0, C18:0, C20:0, C22:0 and C24:0.
  • ceramide is a mixture of compounds of formula (IXa) wherein the mixture is such that the total number of fatty acid residues (R16a together with the adjacent carbonyl group) comprised in the mixture are predominately saturated fatty acids, and the least predominant are unsaturated fatty acids. More particularly the mixture will be such that that 80% to 96% of said fatty acid residues in the mixture are saturated fatty acids, in particular C14, C15, C16, C18, C20, C22, C23, C24 saturated fatty acids, more particularly C16, C18, C20, C22 and C24.
  • ganglioside indicates an oligoglycosylceramide lipid molecule comprising the residue of a ceramide of formula IXa as defined herein.
  • ganglioside may identify a single ganglioside species as well as a mixture of single ganglioside species comprising the residue of a ceramide of formula IXa as defined herein.
  • sphingomyelin indicates a lipid molecule wherein the sphingosine backbone is acylated with a fatty acid residue at the amino group (-NH 2 ) and wherein the hydroxyl group at position 1 of the sphingosine backbone is linked to a phospho-choline or phospho-ethanolamine group.
  • sphingomyelin When the term sphingomyelin is used in the present specifications, it may identify a single sphingomyelin species as well as a mixture of single sphingomyelin species wherein preferably the fatty acid residue is residue of a C14 to C44 fatty acid non limiting examples of which include Non limiting examples of C14 to C44 saturated or unsaturated fatty acids from which the fatty acid residue may stem include; C14:0, C15:0, C16:0, C18:0, C20:0, C21:0, C22:0, C23:0, C24:1, C25:0, C28:1, C30:2, C30:1, C30:0, C32:3, C32:2, C32:1, C32:0, C33:1, C34:3, C34:2, C34:1, C34:0, C35:2, C35:0, C36:4, C36:3, C36:2, C36:1, C36:0, C37:1,
  • choline identifies quaternary ammonium salts containing the N,N,N- trimethylethanolammonium cation and having the structure reported in Fig 3 .
  • the term “choline” should be intended to identify all the choline present in the nutritional compositions on the invention, either in free form (or as a salt thereof) or as deriving from structures comprising it such as for example: phosphatidylcholine, choline hydroxide or sphingomyelin. More Preferably the term “choline” is intended to identify all the choline present in the nutritional compositions on the invention in free form or as a salt thereof e.g choline hydroxide.
  • fatty acid derivative refers to a compound comprising a fatty acid, other than a phospholipid, and in particular to a free fatty acid, and/or a monoacylglycerol (hereinafter MAG), and/or a diacylglycerol (hereinafter DAG), and/or a triacylgylcerol (hereinafter TAG) and/or a cholesterol ester. More particularly the term refers to a MAG, DAG, TAG and/or a cholesterol ester. Even more particularly the term refers to a TAG.
  • MAG monoacylglycerol
  • DAG diacylglycerol
  • TAG triacylgylcerol
  • a cholesterol ester More particularly the term refers to a MAG, DAG, TAG and/or a cholesterol ester. Even more particularly the term refers to a TAG.
  • MAG refers to a glycerol molecule in which one of the OH groups has formed an ester bond with a fatty acid.
  • MAG refers to a compound of formula (X)
  • R 18 R 19 or R 20 are H and wherein one of R 18 R 19 or R 20 is a C4 to C44 saturated or unsaturated acyl group.
  • R 18 R 19 or R 20 are H and one of R 18 R 19 or R 20 is a C10 to C24 saturated or unsaturated acyl group, and even more particularly a C14 to C24 saturated or unsaturated acyl group.
  • DAG refers to glycerol molecule in which two of the OH groups have formed an ester bond with two fatty acids.
  • DAG refers to a compound of formula (X) Wherein, one of R 18 R 19 or R 20 are H and wherein two of R 18 R 19 or R 20 are C4 to C44 saturated or unsaturated acyl groups. More particularly C10 to C24 saturated or unsaturated acyl groups, and even more particularly C14 to C24 saturated or unsaturated acyl groups. The two C4 to C44 saturated or unsaturated acyl groups may be the same or different.
  • TAG refers to glycerol molecule in which three of the OH groups have formed an ester bond with three fatty acids.
  • TAG refers to a compound of formula (X) Wherein, Wherein all R 18 R 19 or R 20 are C4 to C44 saturated or unsaturated acyl groups, more particularly C10 to C24 saturated or unsaturated acyl groups, and even more particularly C14 to C24 saturated or unsaturated acyl groups.
  • the three C4 to C44 saturated or unsaturated acyl groups may all be the same, all different, or two may be the same and one different.
  • cholesterol ester refers to a compound of formula (XI)
  • R 21 is a C2 to C43 branched or unbranched acyclic alky, or acyclic alkenyl group.
  • R 21 is a C9 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl groups which together with the adjacent carbonyl group corresponds to a C10 to C44 saturated or unsaturated fatty acid residue, and even more particularly a C14 to C24 saturated or unsaturated fatty acid residue
  • fatty acid refers to a compound of formula (XII)
  • R 22 is a C2 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl group.
  • R 22 is a C9 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl group, and even more particularly a C13 to C 23 branched or unbranched acyclic alkyl, or acyclic alkenyl group.
  • DHA identifies docosahexaenoic acid.
  • DHA should be intended to identify all the DHA present in the nutritional compositions on the invention, either in free form (as a fatty acid or a physiologically acceptable slat thereof) or comprised in a fatty acid derivative structure.
  • ARA arachidonic acid
  • ARA should be intended to identify all the ARA present in the nutritional compositions on the invention, either in free form (as a fatty acid or a physiologically acceptable salt thereof) or comprised in a fatty acid derivative structure.
  • vitamin refers to any vitamin.
  • Non limiting examples of vitamins include: vitamin A, vitamin B1, vitamin B2, vitamin B6, vitamin K, vitamin C, vitamin D, niacin, biotin, pantothenic acid, folic acid, vitamin B12, and combinations thereof.
  • folic acid is to be intended as identifying all the folic acid present in the nutritional compositions of the invention either as such or in the form of one physiologically acceptable salt thereof (folate) and mixtures thereof.
  • mineral refers to any mineral.
  • Non limiting examples of minerals include: iron, zinc, calcium, phosphorus, copper, magnesium iodine, manganese, chloride, potassium, sodium, selenium, chromium, and combinations thereof. Minerals are usually added in salt form.
  • Iron is to be intended as identifying all the iron present in the nutritional compositions of the invention either in free form, or in the form of a physiologically acceptable (salt such as, for example: ferric citrate, ferric phosphate, ferric pyrophosphate, ferrous ascorbate, ferrous carbonate, ferrous citrate, ferrous fumarate, ferrous gluconate, ferrous lactate, ferrous sulfate or mixtures thereof) or in the form of one physiologically acceptable iron complex (such as for example EDTA ferric sodium salt) and mixtures thereof.
  • a physiologically acceptable salt such as, for example: ferric citrate, ferric phosphate, ferric pyrophosphate, ferrous ascorbate, ferrous carbonate, ferrous citrate, ferrous fumarate, ferrous gluconate, ferrous lactate, ferrous sulfate or mixtures thereof
  • one physiologically acceptable iron complex such as for example EDTA ferric sodium salt
  • phospholipid refers to any phospholipid, and in particular a compound of formula (I) wherein,
  • acyclic refers to a group that is not cyclic, i.e. does not contain a closed chain of atoms.
  • Phosphatidylinositole indicates a compound of formula (V)
  • R 8 is a C2 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl group and, R 9 is a C2 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl group.
  • R 8 and R 9 are, independently of each other, C13 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl groups which together with their adjacent carbonyl group are correspond to C14 to C44 saturated or unsaturated fatty acid residues, and even more particularly R 8 and R 9 are, independently of each other, C13 to C23 branched or unbranched acyclic alkyl, or acyclic alkenyl groups which together with their adjacent carbonyl group correspond to C14 to C24 saturated or unsaturated fatty acid residues.
  • R 8 and R 9 are C13 to C23 branched or unbranched acyclic alkyl, or acyclic alkenyl groups which together with their adjacent carbonyl group are C14 to C24 saturated or unsaturated fatty acid residues, wherein the fatty acids from which the fatty acid residues stem are selected from the group consisting of; C14:0, C15:0, C16:0, C18:0, C20:0, C20:3, C20:4, C21:0, C22:0, C23:0, C24:0, C18:1n-9, C18:2n-6, and C24:1n-9. Even more particularly C18:0, C18:1n-9, C18:2, C20:3, and C20:4.
  • Phosphatidylserine indicates a compound of formula (VI)
  • R 10 is a C2 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl group and, R 11 is a C2 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl group.
  • R 10 and R 11 are, independently of each other, C13 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl groups which together with their adjacent carbonyl group correspond to C14 to C44 saturated or unsaturated fatty acid residues, and even more particularly R 10 and R 11 are, independently of each other, C13 to C23 branched or unbranched acyclic alkyl, or acyclic alkenyl groups which together with their adjacent carbonyl group correspond to C14 to C24 saturated or unsaturated fatty acid residues.
  • R 10 and R 11 are C13 to C23 branched or unbranched acyclic alkyl, or acyclic alkenyl groups which together with their adjacent carbonyl group are C14 to C24 saturated or unsaturated fatty acid residues, wherein the fatty acids from which the fatty acid residues stem are selected from the group consisting of; C14:0, C15:0, C16:0, C18:0, C20:0, C20:3, C20:4, C21:0, C22:0, C23:0, C24:0, C18:1n-9, C18:2n-6, and C24:1n-9. Even more particularly C18:0, C18:1n-9, C20:4, and C22:6.
  • Phosphatidylethanolamine indicates a compound of formula (VII)
  • R 12 is a C2 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl group and, R 13 is a C2 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl group.
  • R 12 and R 13 are, independently of each other, C13 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl groups which together with their adjacent carbonyl group correspond to C14 to C44 saturated or unsaturated fatty acid residues, and even more particularly R 12 and R 13 are, independently of each other, C13 to C23 branched or unbranched acyclic alkyl, or acyclic alkenyl groups which together with their adjacent carbonyl group correspond to C14 to C24 saturated or unsaturated fatty acid residues.
  • Phosphatidylcholine identifies a compound of formula (IX)
  • R 16 is a C2 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl group and, R 17 is a C2 to C43 branched or unbranched acyclic alkyl, or acyclic alkenyl group.
  • R 16 and R 17 are, independently of each other, C13 to C43 branched or unbranched acyclic alky, or acyclic alkenyl groups which together with their adjacent carbonyl group correspond to C14 to C44 saturated or unsaturated fatty acid residues, and even more particularly R 16 and R 17 are, independently of each other, C13 to C23 branched or unbranched acyclic alkyl, or acyclic alkenyl groups which together with their adjacent carbonyl group correspond to C14 to C24 saturated or unsaturated fatty acid residues.
  • R 16 and R 17 are C13 to C23 branched or unbranched acyclic alkyl, or acyclic alkenyl groups which together with their adjacent carbonyl group are C14 to C24 saturated or unsaturated fatty acid residues, wherein the fatty acids from which the fatty acid residues stem are selected from the group consisting of; C14:0, C15:0, C16:0, C16:1, C18:0, C20:0, C20:1, C20:3, C20:4, C21:0, C22:0, C22:6, C23:0, C24:0, C18:1n-9, C18:2n-6, and C24:1n-9. Even more particularly C14:0, C16:0, C18:0, C18:1n-9, C18:2n-6, C20:1, C20:3, C20:4, and C22:6.
  • Infants/young children predominantly fed infant formula has the common meaning and refers to infants or young children which nutritional sources of nutrients and/or energy predominantly originates from synthetic infant formula, follow-on milk or growing-up milks. Predominantly refers to at least 50% of those nutrients and/or energy, or at least 75%.
  • composition of the present invention can comprise, consist of, or consist essentially of the essential elements and limitations of the invention described herein, as well as any additional or optional ingredients, components, or limitations described herein or otherwise depending on the needs.
  • a nutrient may be comprised in a composition under different forms (as such or in the form of salts, complexes or more complex structures comprising the nutrient) the amounts reported hereafter are to be intended to make reference to the amount of the nutrient as such.
  • the nutritional composition according to the present invention comprise a fatty acid derivative or mixtures thereof.
  • composition of the invention further comprises one or more of the following ingredient: vitamins and/or minerals and/or phospholipids and/or choline.
  • Non limiting examples of C10 to C44 saturated or unsaturated fatty acids that may be comprised in the fatty acid derivative i.e. that may be the free fatty acid or fatty acid from which the fatty acid residue(s) of the MAG, DAG, TAG and/or cholesterol ester may stem include; C10:0, C12:0, C14:0, C15:0, C16:0, C16:1n-7, C18:0, C18:1n-7, C18:1n-9, C18:2n-6, 18:3n-3, C20:0, C20:1n-9, C20:2n-6, C20:3n-6, C20:4n-6, 20:5n-3, C21:0, C22:0, C22:1n-9, C22:6n-3 C23:0, C24:1, in particular 24:1n-9, C25:0, C28:1, C30:2, C30:1, C30:0, C32:3, C32:2, C32:1, C
  • said fatty acids will be selected from the group consisting of: C10:0, C12:0, C14:0, C16:0, C16:1n-7, C18:0, C18:1n-7, C18:1n-9, C18:2n-6, 18:3n-3, C20:0, C20:1n-9, C20:2n-6, C20:3n-6, C20:4n-6, 20:5n-3, C22:0, C22:1n-9, C22:6n-3, C24:1, 24:1n-9 in particular 24:1n-9.
  • the fatty acid derivative comprises a saturated or unsaturated fatty acid selected from the group consisting of: C20:4n-6, C22:6n-3, C24:1n-9, C16:0, C18:1n-9, andC18.0.
  • Any fatty acid derivative suitable for ingestion by a subject for which the composition is intended to be consumed may be used in the invention.
  • the fatty acid derivative will come from natural sources, non limiting examples of which include, eggs, algae, fish oil, mould, yeast, seeds, plants e.g. soy, and animal sources e.g. bovine brains, and/or mammalian milk or extracts thereof.
  • soy sources include soy lecithin-food additive
  • mammalian milk include bovine, camel, sheep, goat milk including skilled milks.
  • Non limiting extracts of milk include protein extracts, milk fat globule membranes (MFGM) and extracts comprising them.
  • Fatty acid derivatives may also come from palm oil, tallow, lard, cotton seed oil, peanut oil.
  • the fatty acid derivative comprises a saturated or unsaturated fatty acid selected from the group consisting of: C20:4n-6, C22:6n-3, C24:1n-9, C16:0, C18:1n-9, and C18.0.
  • C20:4n-6 is arachidonic acid (herein after ARA or AA).
  • C22:6n-3 is docosahexaenoic acid (hereinafter DHA).
  • 24:1n-9 is nervonic acid.
  • C18.0 is stearic acid.
  • C16:0 is palmitic acid.
  • C18:1n-9 is Oleic acid.
  • composition according to the invention comprises fatty acid derivative comprising DHA and/or ARA and/or nervonic acid and/or stearic acid, in particularly a fatty acid derivative comprising DHA and/or ARA and/or Stearic acid. Most particularly a fatty acid derivative comprising DHA and/ or Stearic acid.
  • a fatty acid derivative comprising DHA and/or ARA and/or nervonic acid and/or stearic acid may be comprised in the composition of the invention in an amount constituting up to 99.999% of the composition.
  • a fatty acid derivative comprising DHA and/or ARA and/or nervonic acid and/or stearic acid, may be comprised in the composition of the invention in an amount of 15 to 350mg/100g dry weight of the composition, more particularly 30mg to 300mg/100g dry weight of the composition.
  • the composition according to the present invention comprise a fatty acid derivative comprising DHA and/or ARA and/or nervonic acid and/or stearic acid, in an amount selected from the group consisting of; higher than 15mg/100g, higher than 30 mg/100g, higher than 50 mg/100g, ranging from 30 and 300 mg/100g, ranging from 30 to 200 mg/100g or from 30 to 150 mg/100g, ranging from 50 to 300 mg/100g, ranging from 50 to 200 mg/100g, ranging from 50 to 150 mg/100g dry weight of the composition.
  • Fatty acid derivatives comprising stearic acid are present in natural sources for example palm oil, tallow, lard, cotton seed oil, peanut oil.
  • Fatty acid derivatives comprising nervonic acid are resent in natural sources for example the seed oils of Cardamine gracea, Heliphila longifola, Thlaspi perfoliatum, Tropaeolum speciosum, Lunaria biennis, Lunaria annua and Malania oleifera; the moulds Neocallismastix frontalis, Erysiphe graminis and Sphaerotheca humuli; the bacterium Pseudomonas atlantica; the yeast Saccharomyces cerevisiae and the marine diatom Nitzschia cylindrus.
  • Fatty acid derivatives comprising DHA and/or ARA are present in natural sources such as for example egg, algae, fungus or fish oil.
  • Oils comprising fatty acid derivatives comprising DHA and/or ARA and generally other polyunsaturated fatty acids (PUFAs), in particular EPA (eicosapentaenoic acid), may be of various origin.
  • fatty acid derivatives comprising DHA are provided in the form of a fish oil comprising fatty acid derivatives comprising DHA and/or ARA.
  • Fish oils generally comprise 5wt.% or more, preferably 10wt.% or more of fatty acid derivatives comprising DHA and/or ARA,.
  • Oils comprising substantial amounts of fatty acid derivatives comprising DHA and/or ARA, obtained from algae or microorganisms in general are also available.
  • oils harvested from algae comprising 10wt.% or more, for example 20wt.% or more of fatty acid deivatives may be used.
  • the nutritional composition according to the present invention comprises fatty acid derivatives comprising ARA and DHA.
  • Said ingredients may for example be comprised in the composition of the invention in amounts resulting in a weight ratio of DHA:ARA in the range of 4:1 to 1:4, for example 3:1 to 1:3, for example 2:1 to 1:2, for example 1.5:1 to 1:1.5, in particular 1.1:1 to 1:1.1.
  • composition of the invention comprises a mixture of fatty acid derivatives wherein, the mixture is such that the weight ratio of unsaturated to saturated fatty acids and/or fatty acid residues in the composition of the invention is within the range 1:1 to 1:2; 1:1.2 to 1:1.9, 1:1.25 to 1:1.5; 1:3 to 1:4.
  • fatty acid derivatives comprising DHA and/ or ARA
  • the total amount of fatty acid derivatives comprising saturated long chain fatty acids, in particular C20/24 is increased.
  • saturated long chain fatty acids may be an important component of myelin enabling it to wrap around and enrobe axons.
  • the weight ratio of DHA and/or AA to these unsaturated long fatty acids in the composition of the invention may for example be within the range 1:11:10; 1:2 to 1:9, 1: 3 to 1:4.5, 1:3.5 to 1:4.5.
  • the nutritional composition according to the present invention comprise ARA.
  • the nutritional composition according to the present invention comprise ARA in an amount higher than 30 mg/100g.
  • the nutritional composition according to the present invention comprise ARA in an amount higher than 50 mg/100g.
  • the nutritional composition according to the present invention comprise ARA in an amount ranging from 30 to 300 mg/100g or from 30 to 200 mg/100g or from 30 to 150 mg/100g.
  • the nutritional composition according to the present invention comprise ARA in an amount ranging from 50 to 300 mg/100g or from 50 to 200 mg/100g or from 50 to 150 mg/100g.
  • ARA is present in natural sources such as for example egg, fungus, algae or fish oil. According to an embodiment, ARA is provided in the form of triglycerides comprising ARA.
  • Oils comprising ARA and generally other polyunsaturated fatty acids (PUFAs), in particular EPA (eicosapentaenoic acid), may be of various origin.
  • the ARA is provided in the form of a fish oil comprising ARA.
  • Fish oils generally comprise 5wt.% or more, preferably 10wt.% or more of ARA.
  • Oils comprising substantial amounts of ARA obtained from algae or microorganisms in general are also available. For example, oils harvested from fungi comprising 10wt.% or more, for example 20wt.% or more of ARA may be used.
  • ARA may be incorporated in the nutritional compositions of the invention as a single species (as a fatty acid, in the form of a physiologically acceptable salt thereof or in the form of a triglyceride comprising it), as an ingredient consisting of a mixture of different ARA species or by addition of a natural or synthetic ingredient comprising one or more ARA species.
  • the nutritional composition of the invention comprises in addition to ARA: Phospholipids (in particular sphingomyelin), minerals (in particular iron, Magnesium, phosphorus, calcium and/or zinc), choline, DHA, Vitamin B12 and/or folic acid.
  • Phospholipids in particular sphingomyelin
  • minerals in particular iron, Magnesium, phosphorus, calcium and/or zinc
  • choline DHA
  • DHA Vitamin B12 and/or folic acid
  • the nutritional composition according to the present invention also comprises DHA.
  • DHA is present in natural sources such as for example egg, algae or fish oil. According to an embodiment, DHA is provided in the form of triglycerides comprising DHA.
  • Oils comprising DHA and generally other polyunsaturated fatty acids (PUFAs), in particular EPA (eicosapentaenoic acid), may be of various origin.
  • the DHA is provided in the form of a fish oil comprising DHA.
  • Fish oils generally comprise 5wt.% or more, preferably 10wt.% or more of DHA.
  • Oils comprising substantial amounts of DHA obtained from algae or microorganisms in general are also available. For example, oils harvested from algae comprising 10wt.% or more, for example 20wt.% or more of DHA may be used.
  • DHA may be incorporated in the nutritional compositions of the invention as a single species (as a fatty acid, in the form of a physiologically acceptable salt thereof or in the form of a triglyceride comprising it), as an ingredient consisting of a mixture of different DHA species or by addition of a natural or synthetic ingredient comprising one or more DHA species.
  • the nutritional composition according to the present invention comprise DHA in an amount higher than 30 mg/100g.
  • the nutritional composition according to the present invention comprise DHA in an amount higher than 50 mg/100g.
  • the nutritional composition according to the present invention comprise DHA in an amount ranging from 30 to 300 mg/100g or from 30 to 200 mg/100g or from 30 to 150 mg/100g.
  • the nutritional composition according to the present invention comprise DHA in an amount ranging from 50 to 300 mg/100g or from 50 to 200 mg/100g or from 50 to 150 mg/100g.
  • the nutritional composition of the invention comprises in addition to DHA: Phospholipids (in particular sphingomyelin), minerals (in particular iron, Magnesium, phosphorus, copper, calcium and/or zinc), choline, Vitamin B12 and/or folic acid.
  • Phospholipids in particular sphingomyelin
  • minerals in particular iron, Magnesium, phosphorus, copper, calcium and/or zinc
  • choline Vitamin B12 and/or folic acid.
  • the nutritional composition comprises about the same amounts of DHA and ARA.
  • the weight ratio of DHA:ARA is in the range of 4:1 to 1:4, for example 3:1 to 1:3, for example 2:1 to 1:2, for example 1.5:1 to 1:1.5, in particular 1.1:1 to 1:1.1.
  • the unsaturated long chain fatty acids c20/22/24 are increased.
  • the nutritional composition according to the present invention comprises a phospholipid, a metabolic precursor and/or a metabolite thereofin addition to a fatty acid derivative or mixtures thereof, for example in addition to ARA and/or DHA.
  • a phospholipid, a metabolic precursor and/or metabolite thereof may be comprised in a composition in an amount up to 99.999% of the composition.
  • a metabolic precursor and/or metabolite thereof may be comprised in a composition in an amount up to 99.999% of the composition.
  • composition will comprise sphingomyelin in an amount higher than 200mg/kg of the dry weight of the composition, more particularly ranging from 200mg to 2.5g/kg of the dry weight of the composition.
  • the composition comprises sphingomyelin in an amount selected from the group consisting of; higher than 200 mg/kg, higher than 300 mg/kg, ranging from 200 mg to 2.5 g/kg, ranging from 200mg to 2g/kg, in amount ranging from 300 mg to 1.5 g /kg or from 400 mg to 1g/Kg. All weights being per dry weight of the composition.
  • phosphatidylcholine, a metabolic precursor and/or metabolite thereof may be comprised in a composition in an amount up to 99.999% of the composition.
  • composition will comprise phosphatidylcholine in an amount higher than 200mg/kg of the dry weight of the composition, more particularly ranging from 200mg to 2.5g/kg of the dry weight of the composition.
  • the composition comprises phosphatidylcholine in an amount selected from the group consisting of; higher than 200 mg/kg, higher than 300 mg/kg, ranging from 200 mg to 2.5 g/kg, ranging from 200mg to 2g/kg, in amount ranging from 300 mg to 1.5 g /kg or from 400 mg to 1g/Kg. All weights being per dry weight of the composition.
  • a metabolic precursor and/or metabolite thereof may be comprised in a composition in an amount up to 99.999% of the composition.
  • composition will comprise phosphatidylinositole in an amount higher than 200mg/kg of the dry weight of the composition, more particularly ranging from 200mg to 1.5g/kg of the dry weight of the composition.
  • the composition comprises phosphatidylinositole in an amount selected from the group consisting of; higher than 200 mg/kg, higher than 300 mg/kg, ranging from 200 mg to 2.5 g/kg, ranging from 200mg to 2g/kg, in amount ranging from 250mg to 800mg /kg or from 400 mg to 1.5g/Kg. All weights being per dry weight of the composition.
  • phosphatidylserine a metabolic precursor and/or metabolite thereof may be comprised in a composition in an amount up to 99.999% of the composition.
  • composition will comprise phosphatidylserine in an amount higher than 150mg/kg of the dry weight of the composition, more particularly ranging from 200mg to 1.5g/kg of the dry weight of the composition.
  • the composition comprises phosphatidylserine in an amount selected from the group consisting of; higher than 150, higher than 200 mg/kg, higher than 300 mg/kg, ranging from 200 mg to 2.5 g/kg, ranging from 200mg to 2g/kg, in amount ranging from 250mg to 1000mg/kg or from 400 mg to 1g/Kg. All weights being per dry weight of the composition.
  • phosphatidylethanolamine a metabolic precursor and/or metabolite thereof may be comprised in a composition in an amount up to 99.999% of the composition.
  • composition will comprise phosphatidylethanolamine in an amount higher than 150mg/kg of the dry weight of the composition, more particularly ranging from 150mg to 1.5g/kg of the dry weight of the composition.
  • the composition comprises phosphatidylethanolamine in an amount selected from the group consisting of; higher than 170mg/kg, higher than 180 mg/kg, higher than 200 mg/kg, ranging from 200 mg to 2.5 g/kg, ranging from 200mg to 2g/kg, in amount ranging from 250mg to 800mg /kg or from 200 mg to 1g/Kg. All weights being per dry weight of the composition.
  • composition of the invention comprises phospholipids including phosphatidylinositole, phosphatidylserine, phosphatidylethanolamine, sphingomyelin and phosphatidylcholine such that the total concentration does not exceed 15.4g/kg.
  • a metabolic precursor and/or metabolite of one or more phospholipid is used in a composition in place of or in combination with a phospholipid, said compounds may be used in amounts such that the level of phospholipids physiologically delivered by said composition is in line with those set out hereinabove. It is well within the purview of the skilled person to determine appropriate amounts.
  • metabolic precursor and/or metabolite of one or more phospholipid as used herein does not include choline.
  • Non limiting examples of metabolic precursors and/or a metabolite of phospholipids are: galactoceramides, glucoceramides, sphingosine, sphingosine-1-phosphate, ceramide, D-erythro-dihydroceramide and ceramide-1-phosphate, and gangliosides.
  • Particularly effective phospholipids may be phosphatidylcholine, phosphatidylserine, phosphatidylinositol and/or sphingomyelin, in particular sphingomyelin.
  • the phospholipid is phosphatidylcholine, phosphatidylserine, phosphatidylinositol, sphingomyelin and/or a metabolic precursor and/or metabolite of any of the foregoing and/or combinations of any of the foregoing.
  • the phospholipid is sphingomyelin, a metabolic precursor and/or metabolite thereof.
  • Particularly effective metabolic precursors and/or a metabolite of phospholipids, in particular sphingomyelin include ceramide and gangliosides and ceramide -1-phosphate and d-erythro-dihydroceramide.
  • Particularly effective gangliosides may be monosialoganglioside-3 (GM3) gangliosides and/or disialogangliosides 3 (GD3) gangliosides.
  • GM3 monosialoganglioside-3
  • GD3 disialogangliosides 3
  • Ceramide -1-phosphate and d-erythro-dihydroceramide will comprise a residue of a ceramide of formula IXa as defined herein.
  • Gangliosides and/or ceramides and/or Ceramide -1-phosphate and/or d-erythro-dihydroceramide may be comprised in the composition in any amount.
  • Concentrations in the range of 2-11.5mg/100g of GD3 and/or GM3 may be particularly effective.
  • Spingomyelin may be synthesised from ceramide and/or one or more ganglioside and phosphatidylcholine, accordingly, it may be particularly beneficial if ceramide and/or one or more ganglioside is used in combination with phosphatidylcholine a metabolic precursor or metabolite thereof.
  • the phospholipid, metabolic precursors and/or metabolite thereof, comprised in the composition of the invention may be natural, synthetic or a mixture thereof.
  • Said metabolic precursors and/or a metabolite may be used in the composition of the invention in their pure form, or substantially pure form. Alternatively, they may be added in the form of a source comprising them.
  • Any source of a phospholipid metabolic precursors and/or metabolite thereof, suitable for ingestion by a subject for which the composition is intended to be consumed may be used in the invention.
  • the phospholipid a metabolic precursor or metabolite thereof will come from natural sources, non limiting examples of which include, eggs, soy, bovine brains, and/or mammalian milk or extracts thereof.
  • soy sources include soy lecithin-food additive
  • mammalian milk include bovine, camel, sheep, goat milk including skilled milks.
  • Non limiting extracts of milk include protein extracts e.g. whey protein and casein, milk fat globule membranes (MFGM) and extracts comprising them.
  • a particularly useful source of a phospholipids a metabolic precursor or metabolite thereof, in particular sphingomyelin, that may be used in the present invention may be a bovine milk whey protein concentrate enriched in alpha-lactalbumin, and/or none pure alpha-lactalbumin which has been extracted from milk whey protein, in particular bovine milk whey protein.
  • Alpha-Lactalbumin is a high-quality, easy-to-digest whey protein and is the primary protein found in HM.
  • Alpha-lactalbumin and/or an alpha-lactalbumin enriched milk fraction is ideal for use in lower protein infant formulas due to its high content of essential amino acids, particularly tryptophan.
  • alpha-Lactalbumin is in itself a protein non pure sources may comprise sphingomyelin.
  • a phospholipid a metabolic precursor or metabolite thereof, in particular sphingomyelin is used in the form of a whey protein concentrate enriched in alpha-lactalbumin or as alpha-lactalbumin.
  • a whey protein concentrate enriched in alpha-lactalbumin or alpha-lactalbumin having a phospholipid content, in particular sphingomyelin content higher than 500 mg/100g dry weight of the composition is used.
  • MFGM phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-containing phospholipid-derived from bovine milk. It may be particularly beneficial if the MFGM or extracts comprising them comprises at least 1%, 2%, 5%, 10%, 20%, 30%, 40% phospholipids and/or at least 0.1%, 0.2%, 0.5% to 5%, 0.8% to 3%, 1% to 2%, 1.6%, 1.9%, 1.8% of phosphatidylcholine, phosphatidylinositole, phosphatidylserine, phosphatidylethanolamine, and/or sphingomyelin.
  • the MFGM
  • the person skilled in the art may identify appropriate amounts of the above mentioned nutrients, metabolic precursors or metabolites thereof based on the nature, purpose, the target subject and the dosage of the composition e.g. how many times per day the composition is to be ingested by the subject. Typically an effective dose will depend on age, size and health status of the subject, on the subject's lifestyle, the amounts of nutrients in the composition, and maybe on the gender of the subject.
  • the nutritional composition according to the present invention comprises sphingomyelin in addition to a fatty acid derivative or mixtures thereof, for example DHA and/or ARA.
  • the nutritional composition according to the present invention comprises sphingomyelin in an amount higher than 200 mg/kg.
  • the nutritional composition of the invention comprises sphingomyelin in an amount higher than 300 mg/kg.
  • the nutritional composition according to the present invention comprises sphingomyelin in an amount ranging from 200 mg to 2,5 g/kg. In another embodiment, the nutritional composition according to the present invention comprises sphingomyelin in an amount ranging from 200 to 2g/kg, for example from 300 mg to 1,5 g /kg or from 400 mg to 1g/Kg.
  • Sphingomyelin may be administered as such or in the form of a metabolic precursors and/or a metabolite thereof.
  • metabolic precursors and/or metabolites elicit the same beneficial effect in promoting and/or supporting an optimal myelination trajectory in the brain or preventing a suboptimal myelination trajectory in the brain as the direct administration of sphingomyelin does.
  • Non limiting exemplary species in this respect are: galactoceramides, glucoceramides, sphingosine, sphingosine-1-phosphate, ceramide, D-erythro-dihydroceramide and ceramide-1-phosphate and gangliosides.
  • the nutritional compositions of the invention comprise sphingomyelin and/or metabolic precursors or metabolites thereof.
  • Sphingomyelin is present in natural sources such as: alpha-lactalbumin, egg, bovine brain, or bovine milk etc.
  • a sphingomyelin and/or metabolic precursors or metabolites thereof may be incorporated in the nutritional compositions of the invention as a single species, as an ingredient consisting of a mixture of different sphingomyelin species or by addition of a natural or synthetic ingredient comprising one ore more sphingomyelin species.
  • sphingomyelin may be incorporated in the nutritional compositions of the invention as comprised in skim milk powder, alpha lactalbumine, whey protein concentrate and/or whey protein concentrate enriched in alpha-lactalbumine.
  • the whey protein concentrate enriched in alpha-lactalbumin may have a sphingomyelin content higher than 500 mg/100g.
  • sphingomyelin may be incorporated in the nutritional compositions of the invention as a single ingredient.
  • the nutritional composition according to the present invention comprises metabolic precursors and/or metabolites of sphingomyelin in amounts such that they would deliver physiologically the same sphingomyelin level as those delivered by a nutritional composition comprising from 200 mg to 2,5 g/kg of sphingomyelin.
  • the nutritional composition according to the present invention comprises metabolic precursors and/or metabolites of sphingomyelin in amounts such that they would deliver physiologically the same sphingomyelin level as those delivered by a nutritional composition comprising from 400 mg to 1,5g/Kg of sphingomyelin.
  • the nutritional composition according to the present invention comprises one or more of the following ingredient in addition to a fatty acid derivative or mixtures thereof, for example in addition to ARA and/or DHA: Vitamins and/or minerals and/or fatty acids and/or choline.
  • Particularly effective minerals may be iron, zinc, calcium, phosphorus, copper, and magnesium, in particular iron.
  • composition of the invention comprises iron and/or zinc and/or calcium and/or phosphorus and/or copper and/or and magnesium, in particular iron and zinc, more particularly iron.
  • the nutritional composition according to the present invention comprise Iron in addition to a fatty acid derivative or mixtures thereof, for example in addition to ARA and/or DHA.
  • the nutritional composition according to the present invention comprise Iron in an amount higher than 5 mg/100g.
  • the nutritional composition according to the present invention comprise Iron in an amount higher than 9 mg/100g.
  • the nutritional composition according to the present invention comprise Iron in an amount ranging from 5 to 40 mg/100g or from 9 to 40 mg/100g. In another embodiment, the nutritional composition according to the present invention comprise Iron in an amount ranging from 5to 20 mg/100g or from 9 to 20 mg/100g.
  • the nutritional composition according to the present invention comprise Iron in an amount ranging from 5 to 15 mg/100g or from 9 to 15 mg/100g.
  • the nutritional compositions of the invention may comprise Iron in addition to a fatty acid derivative or mixtures thereof, for example in addition to ARA and/or DHA.
  • Iron may be incorporated in the nutritional compositions of the invention in the form of one physiologically acceptable salt such as, for example: ferric citrate, ferric phosphate, ferric pyrophosphate, ferrous ascorbate, ferrous carbonate, ferrous citrate, ferrous fumarate, ferrous gluconate, ferrous lactate, ferrous sulfate or mixtures thereof.
  • one physiologically acceptable salt such as, for example: ferric citrate, ferric phosphate, ferric pyrophosphate, ferrous ascorbate, ferrous carbonate, ferrous citrate, ferrous fumarate, ferrous gluconate, ferrous lactate, ferrous sulfate or mixtures thereof.
  • Iron may be incorporated in the nutritional compositions of the invention in the form of one physiologically acceptable iron complex (such as for example EDTA ferric sodium salt) or mixtures thereof.
  • one physiologically acceptable iron complex such as for example EDTA ferric sodium salt
  • the nutritional composition according to the present invention comprises levels of iron such that the total daily intake derived from the nutritional composition of the invention will not exceed 40 mg.
  • the nutritional composition according to the present invention comprise Zinc in addition to a fatty acid derivative or mixtures thereof, for example in addition to ARA and/or DHA.
  • Zinc may be comprised in the composition of the invention in an amount constituting from 0.001% up to 99.999% of the composition.
  • zinc may be comprised in the composition in an amount higher than 0.08mg, higher than 0.3mg, higherthan 0.5mg, wherein all weights are/100g of the dry composition.
  • the composition according to the present invention comprises zinc in an amount selected ranging from 0.5 to 8mg, 2 to 5.5mg, 2.5 to 4.5mg, 3 to 4mg, 4 to 7.5mg, wherein all weights are per 100g of the dry composition.
  • the composition according to the present invention comprises levels of zinc such that the total daily intake derived from the nutritional composition of the invention will not exceed 302.4mg/day, or will not exceed 245mg/day, or will not exceed 166mg/day, or will not exceed 98.9mg/day, or will not exceed 95.6mg/day.
  • Zinc may be incorporated in the compositions of the invention in the form of a physiologically acceptable salt such as, for example: zinc nitrate, zinc sulfate, zinc gluconate, zinc acetate or mixtures thereof, or in the form of a physiologically acceptable zinc complex (such as for example zinc picolinate) or mixtures thereof.
  • a physiologically acceptable salt such as, for example: zinc nitrate, zinc sulfate, zinc gluconate, zinc acetate or mixtures thereof
  • a physiologically acceptable zinc complex such as for example zinc picolinate
  • the nutritional composition according to the present invention comprise Calcium in addition to a fatty acid derivative or mixtures thereof, for example in addition to ARA and/or DHA.
  • Calcium may be comprised in the composition of the invention in an amount from 0.001% up to 99.999% of the composition.
  • calcium may be comprised in the composition in an amount higher than 0.84mg. higher than 2.52mg, higher than 4.62mg, wherein all weights are /100g dry weight of the composition.
  • the composition according to the present invention comprises calcium in an amount ranging from 84 to 760mg, ranging from 200 to 550mg, ranging from 250 to 450mg, ranging from 280 to 520, 350 to 650mg, wherein all weights are per 100g of the dry composition.
  • the composition according to the present invention comprises levels of calcium such that the total daily intake derived from the nutritional composition of the invention will not exceed 482mg/day, or will not exceed 477mg/day.
  • Calcium may be incorporated in the composition of the invention as such or in the form of a physiologically acceptable salt and/or via any source comprising calcium.
  • a physiologically acceptable salt for example calcium carbonate, calcium chloride, calcium salts of citric acid, calcium gluconate, calcium glycerophosphate, calcium lactate, calcium hydroxide, calcium salts of orthophosphoric acid.
  • the nutritional composition according to the present invention comprise Magnesium in addition to a fatty acid derivative or mixtures thereof, for example in addition to ARA and/or DHA.
  • Magnesium may be comprised in the composition of the invention in an amount from 0.001% up to 99.999% of the composition.
  • magnesium may be comprised in the composition in an amount higher than 0.2mg, higher than 0.35mg, higher than 0.5mg, wherein all weights are /100g dry weight of the composition.
  • the composition according to the present invention comprises magnesium in an amount selected from the group consisting of; ranging from 0.35 to 90mg, ranging from 25 to 70mg, 30 to 65mg, 35 to 60mg, 40 to 50mg, 35 to 55mg, wherein all weights are per 100g of the dry composition.
  • the composition according to the present invention comprises levels of magnesium such that the total daily intake derived from the nutritional composition of the invention will not exceed 110mg/day, or will not exceed 65mg/day.
  • Magnesium may be incorporated in the composition of the invention as such or in the form of a physiologically acceptable salt and/or via any source comprising magnesium.
  • the nutritional composition according to the present invention comprise Phosphorus in addition to a fatty acid derivative or mixtures thereof, in particular in addition to ARA and/or DHA.
  • Phosphorus may be comprised in the composition of the invention in an amount from 0.001% up to 99.999% of the composition.
  • phosphorus may be comprised in the composition in an amount higher than 1.7mg, higher than 14.3mg, higher than 27.3mg /100g dry weight of the composition.
  • the composition according to the present invention comprises phosporus in an amount selected from the group consisting of; ranging from 17 to 516mg, ranging from 129 to 400mg, ranging from 140 to 390mg, ranging from 150 to 370mg, 160 to 365mg, ranging from 270 to 350mg, 200 to 360mg, wherein all weights are per 100g of the dry composition.
  • the composition according to the present invention comprises levels of phosphorus such that the total daily intake derived from the nutritional composition of the invention will not exceed 863mg/day, or will not exceed 787mg/day.
  • Phosphorus may be incorporated in the composition of the invention as such or in the form of a physiologically acceptable salt and/or via any source comprising phosphorus for example: calcium phosphate, calcium hydrogen phosphate
  • the nutritional composition according to the present invention comprise Copper in addition a fatty acid derivative or mixtures thereof, for example in addition to ARA and/or DHA.
  • Copper may be comprised in the composition of the invention in an amount from 0.001% up to 99.999% of the composition.
  • copper may be comprised in the composition in an amount higher than 10mcg, higher than 40mcg, higher than 60mcg, wherein all weight are/100g dry weight of the composition.
  • the composition according to the present invention comprises copper in an amount selected from the group consisting of; higher than 100mcg, ranging from 100 to 850mcg, 180 to 650mcg, 200 to 400mcg, 210 to 300mcg, 210 to 240mcg, 450 to 850mcg, wherein all weights are per 100g of the dry composition.
  • the composition according to the present invention comprises levels of copper such that the total daily intake derived from the nutritional composition of the invention will not exceed 1426mcg/day, or will not exceed 488mcg/day.
  • Copper may be incorporated in the composition of the invention as such or in the form of a physiologically acceptable salt and/or via any source comprising copper.
  • copper may be incorporated into the composition as: copper sulfate and/or copper gluconate and/or copper carbonate, and/or copper citrate, and/or copper-lysine complex.
  • the nutritional composition according to the present invention comprise also choline in addition to a fatty acid derivative or mixtures thereof, in particular in addition to ARA and/or DHA. In one embodiment, the nutritional composition according to the present invention comprise choline in an amount higher than 30 mg/100g.
  • the nutritional composition according to the present invention comprise choline in an amount higher than 50 mg/100g or higher than 100 mg/100g . In one embodiment, the nutritional composition according to the present invention comprise choline in an amount ranging from 30 to 1000 mg/100g or from 30 to 700mg/100g.
  • the nutritional composition according to the present invention comprise choline in an amount ranging from 50 to 1000 mg/100g or from 50 to 700mg/100g.
  • the nutritional composition according to the present invention comprise choline in an amount ranging from 50 to 500 mg/100g or from 100 to 400mg/100g.
  • the nutritional composition according to the present invention comprises levels of choline such that the total daily intake derived from the nutritional composition of the invention will not exceed 1 g.
  • Choline may be incorporated in the nutritional compositions of the invention as such or in the form of one physiologically acceptable salt such as, for example: choline chloride, choline citrate, choline bitartrate or mixtures thereof.
  • choline may be administered in combination with ARA as such or in the form of a metabolic precursors and/or a metabolite thereof such as for example phosphatidylcholine.
  • Choline and/or metabolic precursors or metabolites thereof may be incorporated in the nutritional compositions of the invention as single species, as an ingredient consisting of a mixture of different choline species or by addition of a natural or synthetic ingredient comprising one or more choline species.
  • the nutritional compositions of the invention may comprise choline and/or metabolic precursors or metabolites thereof in addition to a fatty acid derivative or mixtures thereof, in particular in addition to ARA and/or DHA.
  • the nutritional compositions of the invention may comprise a vitamin or mixtures thereof in addition to a fatty acid derivative or mixtures thereof, for example in addition to ARA and/or DHA.
  • Particularly effective vitamins may be folic acid, vitamin B12 and vitamin B6, in particular folic acid and vitamin B12, in particular folic acid.
  • a vitamin may be comprised in a composition of the invention in an amount from 0.001% up to 99.999% of the composition.
  • composition of the invention comprises vitamin B12 and/or folic acid.
  • Folic acid may be comprised in the composition of the invention in an amount constituting 0.001% up to 99.999% of the composition.
  • folic acid may be comprised in an amount of higher than 50mcg/100g of the dry composition, more particularly 50mcg to 500mcg/100g of the dry composition.
  • the nutritional composition according to the present invention comprise also folic acid in addition to a fatty acid derivative or mixtures thereof, in particular in addition to ARA and/or DHA.
  • Folic acid may be comprised in the composition of the invention in an amount constituting 0.001% up to 99.999% of the composition.
  • the nutritional composition according to the present invention comprise folic acid in an amount higher than 50 mcg/100g .
  • the nutritional composition according to the present invention comprise folic acid in an amount higher than 110 mcg/100g.
  • the nutritional composition according to the present invention comprise folic acid in an amount ranging from 50 to 500 mcg/100g or from 50 to 400 mcg/100g.
  • the nutritional composition according to the present invention comprise folic acid in an amount ranging from 110 to 500 mcg/100g or from 110to 400 mcg/100g.
  • the nutritional composition according to the present invention comprise folic acid in an amount ranging from 110 to 400 mcg/100g or from 110 to 350 mcg/100g.
  • the nutritional composition according to the present invention comprises levels of folic acid such that the total daily intake derived from the nutritional composition of the invention will not exceed 400mcg.
  • the nutritional compositions of the invention may comprise folic acid in addition to ARA.
  • Folic acid may be incorporated in the nutritional compositions of the invention as such or in the form of one physiologically acceptable salt thereof (folate) or mixtures thereof.
  • the nutritional composition according to the present invention comprise also Vitamin B12 in addition to a fatty acid derivative or mixtures thereof, in particular in addition to ARA and/or DHA.
  • Vitamin B12 may be comprised in the composition of the invention in an amount constituting from 0.001% up to 99.999% of the composition.
  • vitamin B12 may be comprised in the composition in an amount of selected from the group consisting of; higher than 0.01mcg, in particular higher than 0.04mcg, in particular higher than 0.05mcg, wherein all weights are/100g of the dry composition.
  • composition of the invention comprises Vitamin B12 in an amount selected from the group consisting of; higher than 0.5 mcg, ranging from 0.1 to 10 mcg, 0.4 to 5mcg, 0.5 to 2mcg, 1 to 1.5mcg, 4 to 8.5mcg, wherein all weights are per 100g of the dry composition.
  • the composition according to the present invention comprises an amount of vitamin B12 such that the total daily intake derived from the nutritional composition of the invention will not exceed 7.6 mcg/100g of the dry composition (77.6 mcg/Kg of the dry composition).
  • Vitamin B12 may be incorporated in the nutritional compositions of the invention as such or in the form of a physiologically acceptable salt thereof or mixtures thereof, or via any source comprising vitamin B12.
  • vitamin B12 may be incorporated into the composition in its pure form, as cyanocobalamin, hydroxocobalamin, and any combination thereof.
  • the nutritional composition according to the invention comprises ARA, iron and choline.
  • the nutritional composition according to the invention comprises sphingomyelin, iron and ARA.
  • the nutritional composition according to the invention comprises ARA, iron and folic acid.
  • the nutritional composition according to the invention comprises sphingomyelin, ARA and choline.
  • the nutritional composition according to the invention comprises sphingomyelin, ARA and iron.
  • the nutritional composition according to the invention comprises sphingomyelin, ARA and folic acid.
  • the nutritional composition according to the invention comprises sphingomyelin, choline and ARA.
  • the nutritional composition according to the invention comprises ARA, choline and iron.
  • the nutritional composition according to the invention comprises ARA, choline and folic acid.
  • the nutritional composition according to the invention comprises sphingomyelin, folic acid and ARA.
  • the nutritional composition according to the invention comprises ARA, folic acid and iron.
  • the nutritional composition according to the invention comprises ARA, folic acid and choline.
  • the nutritional composition according to the invention comprises sphingomyelin, folic acid, iron and ARA.
  • the nutritional composition according to the invention comprises ARA, folic acid, choline and iron.
  • the nutritional composition according to the invention comprises sphingomyelin, folic acid, ARA and choline.
  • the nutritional composition according to the invention comprises sphingomyelin, iron, ARA and choline.
  • the nutritional composition according to the invention comprises sphingomyelin, folic acid, iron, choline and ARA.
  • the composition according to the invention comprises a fatty acid derivative, in particular a fatty acid derivative comprising DHA and/or ARA and/or nervonic acid and/or stearic acid, and a vitamin, in particular B12 and/or folic acid, and/or a phospholipid, in particular phosphatidylcholine, and/or phosphatidylserine, and/or phosphatidylinositol, and/or sphingomyelin, and/or a metabolic precursor or metabolite of any of the foregoing, and/or a mineral, in particular iron, and/or zinc, and/or calcium, and/or phosphorus, and/or magnesium and/or choline.
  • a fatty acid derivative in particular a fatty acid derivative comprising DHA and/or ARA and/or nervonic acid and/or stearic acid
  • a vitamin in particular B12 and/or folic acid
  • a phospholipid in particular phosphatid
  • Particularly beneficial concentrations/amounts of said ingredients in said composition may be sphingomyelin in an amount of at least 420mg/kg , phosphatidylcholine in an amount of at least 1000mg/kg, phosphatidylserine in an amount of at least 900mg/kg, phosphatidylinositol in an amount of at least 700mg/kg, folic acid in amount of at least 160mg/kg, vitamin B12 in amount of at least 7mcg/100g, iron in an amount of at least 11.5mg/100g, choline in an amount of at least 140mg/kg, a fatty acid derivative comprising DHA in an amount of at least 89mg/100g, a fatty acid derivative comprising AA in an amount of at least 175mg/100g, zinc in an amount of at least 7mg/100g, calcium in an amount of at least 500mg/100g, phosphorus in an amount of at least 350mg/
  • the composition according to the invention comprises a fatty acid derivative comprising DHA and/or ARA, vitamin B12 and/or folic acid, sphingomyelin and/or a metabolic precursor or metabolite thereof, iron, and choline.
  • the composition according to the invention comprises a fatty acid derivative comprising DHA and/or ARA, vitamin B12 and/or folic acid, sphingomyelin and iron.
  • composition according to the invention comprises a fatty acid derivative comprising DHA in a concentration of 1023mg/kg, ARA in a concentration of 1023mg/kg, vitamin B12 in a concentration of 54mcg/kg, folic acid in a concentration of 1698mcg/kg, sphingomyelin in a concentration of 814mg/kg and iron in a concentration of 67mg/kg.
  • composition of the invention may be any type of composition suitable for direct administration to a subject.
  • composition will be a synthetic nutritional composition.
  • the composition according to the invention can be a synthetic nutritional composition. It can be an infant formula, a starter infant formula, a follow-on formula, a growing up milk, a baby food, a preterm formula or a fortifier such as a human milk fortifier, or a supplement.
  • the composition of the invention is an infant formula, or a fortifier or a supplement intended for the first 4 or 6 months of age.
  • the composition will contain a protein source, a lipid source and a carbohydrate source.
  • compositions may comprise protein in the range of about 2 to 6 g/100 kcal, lipids in the range of about 1.5 to 3 g/100kcal and/or carbohydrates in the range of about 1.7 to 12 g/100 kcal.
  • composition is liquid, its energy density may be between 60 and 75 kcal/100ml. If the composition is solid, its energy density may be between 60 and 75 kcal/100g.
  • protein sources based on whey, casein and mixtures thereof may be used, for example.
  • acid whey or sweet whey or mixtures thereof may be used as well as alpha-lactalbumin and beta-lactoglobulin in whatever proportions are desired.
  • the whey protein may be modified sweet whey.
  • Sweet whey is a readily available by-product of cheese making and is frequently used in the manufacture of infant formulas based on cows' milk.
  • sweet whey includes a component which is undesirably rich in threonine and poor in tryptophan called caseino-glyco-macropeptide (CGMP).
  • CGMP caseino-glyco-macropeptide
  • CGMP from sweet whey results in a protein with a threonine content closer to that of human milk.
  • This modified sweet whey may then be supplemented with those amino acids in respect of which it has a low content (principally histidine and tryptophan).
  • a process for removing CGMP from sweet whey is described in EP 880902 and an infant formula based on this modified sweet whey is described in WO 01/11990 .
  • the proteins may be intact or hydrolysed or a mixture of intact and hydrolysed proteins. It may be desirable to supply partially hydrolysed proteins (degree of hydrolysis between 2 and 20%), for example for subjects believed to be at risk of developing cows' milk allergy.
  • a whey protein hydrolysate may be prepared by enzymatically hydrolysing the whey fraction in two steps as described in EP 322589 .
  • the whey proteins may be subjected to triple hydrolysis using Alcalase 2.4L (EC 940459), then Neutrase 0.5L (obtainable from Novo Nordisk Ferment AG) and then pancreatin at 55°C.
  • Alcalase 2.4L EC 940459
  • Neutrase 0.5L obtainable from Novo Nordisk Ferment AG
  • pancreatin pancreatin at 55°C.
  • the whey fraction used as the starting material is substantially lactose free, it is found that the protein suffers much less lysine blockage during the hydrolysis process. This enables the extent of lysine blockage to be reduced from about 15% by weight of total lysine to less than about 10% by weight of lysine; for example about 7% by weight of lysine which greatly improves the nutritional quality of the protein source.
  • compositions of the present invention may contain a carbohydrate source.
  • Any carbohydrate source may be used, such as lactose, saccharose, maltodextrin, starch, honey and mixtures thereof.
  • the compositions of the present invention may contain a lipid source.
  • the lipid source may be any lipid.
  • Preferred fat sources include milk fat and vegetable oils (including but not limited topalm oil, high oleic sunflower oil and high oleic safflower oil).
  • the essential fatty acids linoleic and ⁇ -linolenic acid may also be added.
  • small amounts of oils containing high quantities of preformed arachidonic acid (ARA) and docosahexaenoic acid (DHA) such as fish oils or microbial oils may be added.
  • the lipid source preferably has a ratio of n-6 to n-3 fatty acids of about 5:1 to about 15:1; for example about 8:1 to about 10:1.
  • compositions of the present invention may also contain all vitamins and minerals understood to be essential in the daily diet and in nutritionally significant amounts. Minimum requirements have been established for certain vitamins and minerals. Examples of minerals, vitamins and other nutrients optionally present in the infant formula include vitamin A, vitamin B1, vitamin B2, vitamin B6, vitamin B12, vitamin E, vitamin K, vitamin C, vitamin D, folic acid, inositol, niacin, biotin, pantothenic acid, choline, calcium, phosphorous, iodine, iron, magnesium, copper, zinc, manganese, chloride, potassium, sodium, selenium, chromium, molybdenum, taurine, and L-carnitine. Minerals are usually added in salt form. In one embodiment, the composition comprises amounts of Vitamin B12 and/or folic acid. The presence and amounts of specific minerals and other vitamins will vary depending on the numerous factors, such as age weight and condition of the person or animal the composition is administered to.
  • compositions may also comprise at least one probiotic bacterial strain.
  • a probiotic is a microbial cell preparation or components of microbial cells with a beneficial effect on the health or well-being of the host.
  • Suitable probiotic bacterial strains include Lactobacillus rhamnosus ATCC 53103 obtainable from Valio Oy of Finland under the trade mark LGG, Lactobacillus rhamnosus CGMCC 1.3724, Lactobacillus paracasei CNCM I-2116, Bifidobacterium lactis CNCM I-3446 sold inter alia by the Christian Hansen company of Denmark under the trade mark Bb12 and Bifidobacterium longum ATCC BAA-999 sold by Morinaga Milk Industry Co. Ltd.
  • the amount of probiotic, if present, likewise preferably varies as a function of the age of the person or animal.
  • the probiotic content may increase with increasing age of the infant for example from 10 3 to 10 12 cfu/g formula, more preferably between 10 4 and 10 8 cfu/g formula (dry weight).
  • compositions may also contain at least one prebiotic in an amount of 0.3 to 10%.
  • a prebiotic is a non-digestible food ingredient that beneficially affects the host by selectively stimulating the growth and/or activity of one or a limited number of bacteria in the colon, and thus improves host health.
  • Such ingredients are non-digestible in the sense that they are not broken down and absorbed in the stomach or small intestine and thus pass intact to the colon where they are selectively fermented by the beneficial bacteria.
  • prebiotics include certain oligosaccharides.
  • compositions may optionally contain other substances which may have a beneficial effect such as nucleotides, nucleosides, and the like.
  • compositions for example an infant formula, for use in the invention may be prepared in any suitable manner.
  • an infant formula may be prepared by blending together the protein source, the carbohydrate source, and the fat source in appropriate proportions.
  • the emulsifiers may be included in the blend.
  • the vitamins and minerals may be added at this point but are usually added later to avoid thermal degradation. Any lipophilic vitamins, emulsifiers and the like may be dissolved into the fat source prior to blending.
  • Water preferably water which has been subjected to reverse osmosis, may then be mixed in to form a liquid mixture. The liquid mixture may then be thermally treated to reduce bacterial loads.
  • the liquid mixture may be rapidly heated to a temperature in the range of about 80°C to about 110°C for about 5 seconds to about 5 minutes. This may be carried out by steam injection or by heat exchanger; for example a plate heat exchanger.
  • the liquid mixture may then be cooled to about 60°C to about 85°C; for example by flash cooling.
  • the liquid mixture may then be homogenised; for example in two stages at about 7 MPa to about 40 MPa in the first stage and about 2 MPa to about 14 MPa in the second stage.
  • the homogenised mixture may then be further cooled to add any heat sensitive components; such as vitamins and minerals.
  • the pH and solids content of the homogenised mixture is conveniently standardised at this point.
  • the homogenised mixture is transferred to a suitable drying apparatus such as a spray drier or freeze drier and converted to powder.
  • the powder should have a moisture content of less than about 5% by weight.
  • probiotic(s) they may be cultured according to any suitable method and prepared for addition to the infant formula by freeze-drying or spray-drying for example.
  • bacterial preparations can be bought from specialist suppliers such as Christian Hansen and Morinaga already prepared in a suitable form for addition to food products such as infant formula. Such bacterial preparations may be added to the powdered infant formula by dry mixing.
  • a fatty acid derivative or mixtures thereof, for example comprising ARA and/or DHA may be added at any stage during this procedure, but is preferably added after the heating step.
  • the nutritional composition comprises triglycerides with high sn- 2 palmitate, preferably triglycerides having more than 33% of the palmitic acids in sn- 2 position.
  • palmitic acid comprises from about 15 to about 25%, such as from about 15 to about 20%, of the total fatty acids content of the formula, by weight, and at least from about 30%, for example, from about 35 to about 43% of the total palmitic acid content is in the sn-2 position.
  • Betapol TM B-55 is a triglyceride mixture derived from vegetable oil in which at least 54% of the palmitic acid is in the sn-2 position of the glycerol molecule.
  • the fat content of the composition of the invention is about 40-50% Betapol TM B-55 by weight, for example, from about 43% to about 45% by weight.
  • composition of the invention has a positive effect on the myelination trajectory in the brain of the infants or young children who are fed with such compositions.
  • Such positive effect can comprise the promotion and/or support of an optimal myelination trajectory in the subject fed with the composition, which determines appropriate development of cognitive skills and abilities and learning in the infant or young children.
  • An optimal myelination trajectory may also prevent development of cognitive impairment or delay.
  • the health effect can be observed after a few days,weeks or months of use of the nutritional composition comprising a fatty acid derivative or mixtures thereof, for example comprising ARA and/or DHA and/or nervonic acid and/or stearic acid.
  • the effect of the invention can be preventive (for example avoiding a sub-optimal myelination trajectory in the brain) or curative (restoring an optimal myelination trajectory in the brain).
  • the health effect related to the infant can be measured by various methods as illustrated in the example below.
  • the target infants or young children show a sub-optimal myelination trajectory in the brain which may result in cognitive deficits, impaired cognitive abilities and/or sub-optimal cognitive development.
  • such infants can be preterm or low birth weight infants or infants born small for gestational age.
  • infants or young children are born at term. All infants can benefit from the invention as all infants are or can be susceptible to develop a sub-optimal myelination trajectory in the brain.
  • the infants and young children are 0-3 months, 0-6 months, or 0-12 months or 0-36 months of age or 0-60 months of age. It is foreseen that the composition of the invention may be even more beneficial when administered to infants just after birth (0-4 weeks, 0-8, 0-12, 0-24 weeks) because it is at that time that myelination process has started and significantly develops.
  • the composition of the invention is fed to the infant or young children (or intended to be fed or instructed to be fed) for2 to 52 weeks. In one embodiment, it is fed to the infant or young children for 2 to 24 weeks, or 2 to 12 weeks.
  • composition of the invention is fed to the infant or young children (or intended to be fed or instructed to be fed) for 2 to 52 weeks and started shortly after the infants or young children are born or breastfeeding is interrupted. In one embodiment, composition of the invention is fed to the infant or young children for 2 to 24 weeks, or 2 to 12 weeks, and started shortly after the infants or young children are born or breastfeeding is interrupted.
  • the health beneficial effect is more prominent or to established faster when the composition of the invention is used as the exclusive source of nutrition (except if complementing breast feeding).
  • the health effect is observed as long as the composition of the invention is used to cover 50% or more, or 75% or more, of the nutritional needs (e.g. energy needs) of the target infants or young children.
  • MVF Myelin Water Fraction
  • Infant formula composition six infant formulas fed to infants participating in study were analyzed for their composition/level of myelin-relevant nutrients.
  • Composition tested were standard commercial infant formulas of different brands/suppliers and showing variable levels on the nutrients therein contained.
  • T Age-standardized (T) scores of gross motor, visual reception and language (expressive and receptive) derived from the Mullen Scales of Early Learning.
  • a combination of retrospective and prospective data were acquired from parents via detailed medical histories and parental interview on type of infant formula used, percentage of breastfeeding to formula feeding, and length of exclusive breastfeeding. This information was updated at each study visit, which occurred approximately every 6 months for children under 2 years, and yearly for older children. Using this information, children were categorized into one of 2 groups: #1. Exclusively formula-fed; and #2. Exclusively breastfed for at least 90 days (3 months). Children who were fed a combination of breastmilk and formula within 3 months were excluded from our analysis. Infants within the exclusively formula-fed group were further sub-divided based on parental reports of the main infant formula used throughout the first 3 months. Main formula was defined as that given 90% of the time or more (in the case were parents used an alternate brand during vacation, for example).
  • Each infant was scanned using the mcDESPOT (multicomponent Driven Equilibrium Single Pulse Observation of T 1 and T 2 ) white matter imaging technique Deoni et al. (Magn. Reson. Med. 2008, 60:1372-1387 ) , which provides a quantitative measure of the myelin water fraction (MWF) at each imaging point throughout the brain.
  • All infants were scanned during natural ( i.e. non-sedated ) sleep using acoustically-muffled mcDESPOT imaging protocols. Total imaging times ranged from 19 minutes for the youngest toddlers to 24 minutes for the older 4 year-old children.
  • a three-pool signal model (comprising the myelin-associated water; intra-extra axonal water; and a non-exchanging free-water pool) was fit to the mcDESPOT data to derive voxel-wise MWF maps.
  • Each child's map was then non-linearly aligned to a study specific template .
  • White matter masks corresponding to 5 bilateral regions (frontal, temporal, occipital, parietal, and cerebellar WM) as well as the body, genu, and splenium of the corpus callosum were created from common databases, registered to the common template, and superimposed onto each child's MWF map. Mean values for each region were then determined for each child and used for subsequent developmental analysis and trajectory modeling.
  • MSEL Mullen Scales of Early Learning ⁇ MSEL; Mullen:1995vd ⁇ .
  • the MSEL provide a broad assessment of behavioral development in the domains of fine and gross motor control, receptive and expressive language, and visual reception.
  • Age-normalized T-scores from these domains can be combined into three composite scores: the early learning composite (ELC, comprising fine motor, visual reception, expressive and receptive language); the non-verbal development quotient (NVDQ, comprising fine motor and visual reception scores); and the verbal development quotient (VDQ, comprising the expressive and receptive language scores).
  • ELC early learning composite
  • NDDQ non-verbal development quotient
  • VDQ verbal development quotient
  • fatty acid derivative specifically ARA and DHA
  • myelination myelin water fraction
  • DHA composition of such formulas is reported below in table 2:
  • Table 2 Formula 2 Formula 6 (low DHA content) (high DHA content) DHA 43.2 mg/100g 89.8 mg/100g
  • the graphs indicate that the higher the DHA content in the formula, the closer is the myelination trajectory for the infants fed with that formula to that provided by feeding exclusively with human breastmilk.
  • a nutritional composition comprising a fatty acid derivative or mixtures thereof, for example ARA and/or DHA determines, in the infant who is fed with such composition, a myelination trajectory in the brain which is optimal (close to that determined via human breast feeding).
  • a myelination trajectory in the brain which is optimal (close to that determined via human breast feeding).
  • Neurons / Oligodendrocytes were cultured as previously described by Charles et al., 2000.
  • Pregnant female rats of 17 days gestation were killed by cervical dislocation (Rats Wistar) and the foetuses removed from the uterus.
  • the Forebrains were removed and placed in ice-cold medium of Leibovitz (L15) containing 2% of Penicillin-Streptomycin (PS) and 1% of bovine serum albumin (BSA).
  • Forebrains were dissociated by trypsinisation for 20 min at 37oC (Trypsin EDTA 1X). The reaction was stopped by the addition of Dulbecco's modified Eagle's medium (DMEM) containing DNAase I grade II (0.1 mg/ml) and 10% of foetal calf serum (FCS).
  • DMEM Dulbecco's modified Eagle's medium
  • Cells were then mechanically dissociated by 3 passages through a 10 ml pipette. Cells were then centrifuged at 180 x g for 10 min at 4°C temperature on a layer of BSA (3.5%) in L15 medium. The supernatant was discarded and the cells of pellet were re-suspended in DMEM containing 10% of FCS. Cells were then centrifuged at 515 x g for 10 min at 4°C.
  • the supernatant was discarded and the cells of pellet were re-suspended in a culture medium consisting of Neurobasal supplemented with 2% of B27, 2 mM of L-glutamine (L Glu), 2% of PS solution, 1 % of FCS and 10 ng/ml of platelet-derived growth factor (PDGF-AA). Viable cells were counted in a Neubauer cytometer using the trypan blue exclusion test. The cells were seeded at a density of 20000 cells/well in 96 well-plates pre-coated with poly-L-lysine and laminin.
  • a culture medium consisting of Neurobasal supplemented with 2% of B27, 2 mM of L-glutamine (L Glu), 2% of PS solution, 1 % of FCS and 10 ng/ml of platelet-derived growth factor (PDGF-AA). Viable cells were counted in a Neubauer cytometer using the trypan blue exclusion test. The cells were seeded
  • estradiol was used as positive control. Estradiol is known to induce OPC proliferation.
  • the positive effect of estradiol on OL differentiation has also been demonstrated, as has its effect on the early myelination process.
  • the positive effect of estradiol on neurite outgrowth was also published (for review see Alevaro et al., 2010).
  • the plates were maintained at 37°C in a humidified incubator, in an atmosphere of air (95%)-CO2 (5%). Half of the medium was replaced every other day with fresh medium and test compound or control compound. The test or control compounds were maintained at the defined concentration for the duration of the experiments. Compounds were tested on 1 culture (6 wells per conditions). Cells were then used on day 12, 18 or 30 of culture to measure one of either proliferation of OPC, differentiation of OPC into OL and early myelination process (myelin wrapping), or maturation of OL (myelin maturation) and mature myelination process (myelin wrapping).
  • the total number of OPC (number of A2B5 positive cells) was quantified (to evaluate the proliferation), the axonal network was measured (total axonal length (NF)) to assess the effect of the compound on the neuronal network (the quality of the myelination is directly linked to the quality of the axonal network).
  • the total number of OL was quantified (number and area of MAG positive cells) (to evaluate the differentiation process), as well as the wrapping of OPC around axons (overlap MAG/NF wrapping) (myelination process).
  • the axonal network was measured (total axonal length (NF) to assess the effect of the compounds on the neuronal network.
  • the total number of OL was assessed (number and area of MBP positive cells) (to evaluate the OL maturation) as well as the wrapping of myelin around axon (overlap MBP/NF(wrapping)).
  • the axonal network was measured (Total axonal length (NF)) to assess the effect of the compounds on the neuronal network.
  • Feeder layer preparation Dissociation of neonatal cortices and maintenance of mixed glial cultures
  • Tissue were subsequently triturated using a sterile flame-polished glass Pasteur pipette, then 4 mL of mixed glial culture media per brain was added. Cells were centrifuged at 1200 rpm ( ⁇ 300 g) for 5 min, then cells were resuspended in warm mixed glial culture media and plated into PLL-coated flask.
  • Hippocampal neurons were isolated from embryonic (E18) pups of Sprague Dawley rats. Briefly, following animal sacrifice, brains were isolated, meninges removed from the medial aspect of the cerebral hemispheres, then hippocampi dissected out and kept at 4°C until process completion.
  • Tissue were then incubated with 2.5% trypsin for 15 min in a water bath at 37°C, then gently washed and kept in culturing media.
  • Hippocampal dissociation was performed by repeatedly pipetting them up and down with a functionalized sterile Pasteur pipette. Following mechanical dissociation, cells were plated at desired density in neuronal plating medium, let recover for 4 hours, then put in compete neuronal culturing medium.
  • mixed glia culture medium containing microglia and OPCs cells were collected and pre-plated on P100 petri dish (not treated for culture) for 30 minutes in order to purify OPCs cells; microglia cells start immediately to adhere to petri while OPCs cells remained in the surnatant medium.
  • Results are show in Figures 26 to 45 .
EP23168936.5A 2015-12-14 2016-12-13 Compositions nutritionnelles et préparations pour nourrissons pour favoriser la myélinisation dans le cerveau Pending EP4233905A3 (fr)

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